Dr. Bui Thanh Tien, Deputy Director of Hong Ngoc General Hospital - Phuc Truong Minh, reported that the patient arrived at the hospital in multi-trauma shock. Doctors identified severe injuries, including traumatic brain injury, closed chest and abdominal injuries, ruptured liver, ruptured spleen, near-complete splenic pedicle transection, ruptured jejunum, torn ileum, left colon, mesentery, and multiple bone fractures.

Upon admission, the patient was in severe hemorrhagic shock, with a rapid, impalpable pulse and unrecordable blood pressure. According to Dr. Tien, this was a critical multi-trauma case with a low survival prognosis.

The hospital activated a hospital-wide red alert, mobilizing the Emergency Department, Gastrointestinal Surgery, Anesthesiology and Resuscitation, Intensive Care, and Orthopedic Trauma Surgery. The emergency team intubated the patient, established multiple intravenous lines, and administered fluids and blood to stabilize hemodynamics before surgery.

The emergency surgical team operating on the patient. Photo: Hong Ngoc General Hospital

The first surgery lasted nearly 5 hours. Upon opening the abdomen, doctors found about 3 liters of blood along with numerous internal organ injuries. The gastrointestinal surgical team performed a splenectomy, sutured liver wounds, resected and anastomosed the small intestine, controlled bleeding at various sites, sutured damaged intestinal serosa, and created a left colostomy.

Simultaneously, the orthopedic trauma team managed soft tissue injuries in the thigh, lower leg, and arm. The Anesthesiology and Resuscitation Department continuously monitored pulse, blood pressure, coagulopathy, and metabolic acidosis, while transfusing blood, blood products, and administering vasopressors to maintain circulation.

The patient continued to receive specialized intensive care, including further blood and plasma transfusions, correction of coagulopathy and metabolic acidosis, and maintenance of vital organ function.

The medical team providing care and intensive resuscitation for the patient. Photo: Hong Ngoc General Hospital

Twenty-four hours after the initial surgery, the patient emerged from multi-trauma shock. Three days later, vital signs gradually stabilized. Five days later, with the patient's overall condition more stable, the Orthopedic Trauma Surgery team performed surgery to fix fractures in both arms and the right intertrochanteric region of the femur, preparing for mobility rehabilitation.

By the eighth day, he was weaned off the ventilator and other life support measures, able to sit up, converse, and was discharged in stable condition.

Pham Quynh Trang, the patient’s wife, shared that her family had prepared for the worst-case scenario. "When we saw him open his eyes and regain consciousness, the whole family burst into tears. We felt like he was given another chance at life," she said.

The patient recovered well and was discharged after more than one week of treatment. Photo: Hong Ngoc General Hospital

Doctors highlighted that this case demonstrated the crucial role of early emergency care, urgent surgery, and intensive resuscitation in managing severe multi-trauma. Continuous coordination among specialists is essential to control bleeding, maintain circulation, and protect the patient's vital functions.

Doctors recommend that individuals with multi-trauma be taken to a medical facility capable of emergency care, surgery, and intensive resuscitation as soon as possible to increase their chances of survival and recovery.

Van Ha